PLEASE NOTE: Minimum occupancy is 15 overnight guests.   Maximum occupancy is 35 overnight guests
Type of retreat:   ___ Full service ($85 pp first day, $75 pp additional day)         ___ Turn key ($35/person/ night)
 
Type of day use:   ___ Monday - Thursday $150 / day       ___ Friday - Sunday $250 / day       ___ Kitchen use $50
 
Name of Retreat ________________________________________________       Date(s) requested ____________________
 
Sponsoring Organization ____________________________       Coordinator's Name ________________________________
 
Address______________________________________________________________________________________________
 
Phone numbers (H) ____________________ (W) ____________________ Email __________________________________
 
Estimated Number of Retreatants _________ Estimated total cost ___________ per day
(a) Contact the manager within three days of the retreat to advise our staff of the final count of registrants and any dietary restrictions (full service retreats only).
(b) Provide a registration list of retreatants with ledgible names and addresses at the time of the retreat.
It is the responsibility of the coordinator to arrange with the manager any deviation in the schedule.
Thank you for your interest in Senexet House. Have a wonderful retreat!     -Kit Northup, Manager
 
I agree to the above terms ______________________________________________
 
Enclosed is a deposit in the amount of $_______________________ USD